NPI 1104801208
John Mark Maddox, MD
Practice location
- Address
- 1145 Broadway STE 300, Tacoma, WA 98402-3523
- Phone
- (253) 403-1130
Registered specialties (5)
Colon & Rectal Surgery Physician
Primary
Surgery Physician
Surgery Physician
Colon & Rectal Surgery Physician
Colon & Rectal Surgery Physician
Registry record
- NPI
- 1104801208
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Dec 2005
- Record last updated
- 7 Dec 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.